Shagreen is a leather made from sharkskin or the skin if a rayfish, often the pearled rayfish Hypolophus sephen.

This beautiful surgical etui is hard cased with an operational silver buttoned latch that closes it. The domed top and bottom are banded in concentric rings of silver. A red velvet lining is at the top of the interior. The case itself is made of wood.

This shagreen surgical etui contains six instruments including scissors, needles, a totrtoise shell fleam marked “BODR” for bleeding patients, and a silver tongue depressor. Two slots are missing instruments.